1525 75TH ST SW COMCAST 2022-07-14

B9LDING PERMIT APPLICAT1 CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION:(P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1525 75th St SW PARCEL#: 2883339 crTY Everett STATE WA ZIP 98203 SUITE/UNIT#: FLOOR -OOP - ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-reside al):Comcast LEGAL DESCRIPTION for new constructio • Short Plat/subdivisio.• Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: COMCAST CABLE COMMUNICATIONS MGMT LLC OWNER MAILING ADDRESS: STREET ONE COMCAST CENTER 32 FLOOR CITY PHILADELPHIA STATE PA zip 19103 OWNER PHONE:720-926-6643 OWNER EMAIL: COMMENTS@S1 PERMITS.COM CONTRACTOR COMPANY NAME:W.R Hanson Inc WA STATE CONTRACTOR LICENSE#(REQUIRED):WRHAN**251 B1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRE : WRHAN**251 B1 CONTRACTOR ADDRESS: STREET 12510 130th Ln NE A1-4 crre Kirkland STATE WA ZIP 98034 CONTRACTOR PHONE:425-821-6747 CONTRACTOR EMAIL:COMMENTS@S1PERMITS.COM PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Project Manager CONTACT NAME: CONTACT PHONE:720-926-6643 M is e e McNamara CONTACT EMAIL:COMMENTS@S1 PERM ITS.COM l BUILDING INFORMATION VALUATION OF WORK: 250,000 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevaili g fair market v lue of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILD! G:OffiC PROPOSED USE OF BUILDING: Ffice HEAT SOURCE: ❑✓Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial EAccessory Structure TYPE OF PROJECT(check all that apply): ENew Construction ❑Addition ❑✓Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure EFence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Remodel of existing office space to decrease the overall size of the Comcast office within the building and prep it for subleasing. A'fTt-a To: ' 1-vimmt.4 ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. / City of Everett Official Use Only 3-8-2021 PER ^ r O3C O � Owner/Authorized Agent Signature Date (Revised 2/8/2021) Ij 2